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Organization
MINDLIFE COUNSELING LLC
Active
Organization
MINDLIFE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENOY THOMAS (OWNER)
(240) 593-6810
Entity
Organization
Contact information
Practice address
15112 PEACHSTONE DR, SILVER SPRING, MD 20905-4317
(240) 593-6810
Mailing address
15112 PEACHSTONE DR, SILVER SPRING, MD 20905-4317
(240) 593-6810
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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